MEDICARE: DR. AMIR AZEEM M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0001X	Clinical Cardiac Electrophysiology Physician	R3996	TX
2	207R00000X	Internal Medicine Physician	2006-00953	NC

General Provider Information

NPI Number	:	1265526339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMIR AZEEM M.D.

Provider Business Mailing Address
First Line	:	5306 CLOUDS CREEK LN
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4940
Country	:	US
Telephone Number	:	713-489-2045
Fax Number	:

Provider Business Practice Location Address
First Line	:	19255 PARK ROW STE 205
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-7310
Country	:	US
Telephone Number	:	713-489-2045
Fax Number	:	713-324-0524

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	11/14/2019

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